Health Condition 1: D703- Neutropenia due to infection
Conditions
Interventions
Intervention1: Tele Nursing Intervention: After the initial observation of 100 patients in 4 weeks a set of 100 patients will be provided telephonic advice in 4 weeks:
Patients who are staying beyond
Sponsors
Nil
Eligibility
Inclusion criteria
Inclusion criteria: Presence of a single oral or axillary temperature of more than 38 degree Celsius for greater than or equal to one hour along with an absolute neutrophil count less than 500 per mm cube or less than 1000 per mm cube with expected decline to less than 500 per mm cube within the next two days Pediatric cancer patients between the age group of 0 to 15 years who are presented with complaint of fever in casualty Pediatric cancer patients or care givers consented for Telenursing instructions and visiting casualty with FN will be included in experimental group If the patient or caregiver had given informed consent in the chemotherapy ward and have arrived casualty without contacting Tele-Nurse then the participant will be considered in control group Stable access to mobile network for experimental group Both the group with TTA will undergo FN standard protocol as per TMH
Exclusion criteria
Exclusion criteria: Pediatric cancer patients or care givers who are unable to use mobile phone Pediatric cancer patients or care givers who have received Telenursing instructions and not visiting casualty
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Percentage of patients receiving antibiotic administration at the end of four weeks of observation as a base line data Percentage of patients receiving antibiotics within 1 hour after introduction of telenursing services at the end of eight weeks after introducing telenursing services Timepoint: Percentage of patients receiving antibiotic administration at the end of four weeks of observation as a base line data Percentage of patients receiving antibiotics within 1 hour after introduction of telenursing services at the end of eight weeks after introducing telenursing services | — |
Secondary
| Measure | Time frame |
|---|---|
| To record the extended follow up of TTA administration among fever patients within 1 hour from door to drug in casualty as standard care at the end of twenty four weeks after introduction of tele nursing services To document the time taken to reach hospital after detection of fever by the patients Timepoint: Time to reach closest healthcare facility for antibiotic administration at the end of twenty four weeks | — |
Countries
India
Contacts
Public ContactDR Mrs Manisha Pawar
Tata Memorial Hospital
Outcome results
None listed